Inspection on 22/01/07 for 2 and 8 Kingsthorpe Grove

This inspection was carried out on 22nd January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 and 8 Kingsthorpe Grove 25/01/06

2 and 8 Kingsthorpe Grove 22/11/04

2 and 8 Kingsthorpe Grove 14/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 8 Kingsthorpe Grove Kingsthorpe Northampton NN2 6PA Lead Inspector Keith Charlton Key Unannounced Inspection 22nd January 2007 02:15 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 8 Kingsthorpe Grove Address Kingsthorpe Northampton NN2 6PA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01604 791266 01604 716177 Dawn.briggs@careresidential.co.uk The Richardson Partnership for Care Mr Brian Richardson, Mrs Jacqueline Richardson, Miss Laura Richardson, Mr Greg Cheater Ms Jane Catherine Payne Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within the category LD can be admitted where there are already 8 persons of category LD already in the Home. All Service Users must be fully ambulant due to the width and access of the stairway to the third floor. 26/1/06 Date of last inspection Brief Description of the Service: 8 Kingsthorpe Grove was a six bedded home then became a ten bedded home, at the time of the inspection, though was due to increase to a eighteen bed home very shortly after the inspection, it is three stories high and is situated on a main road, in close proximity to the Kingsthorpe Shopping centre. Northampton town centre is approximately a mile and a half away and there is a convenient bus service to either Northampton or Market Harborough. The home has a pleasant garden area that is well used by service users. The home is registered for people with learning disabilities and provides long term placements. Fees are typically from £1000 to £1399 week – this information was provided on the day of the inspection. There are costs for extras – hairdresser, toiletries, newspapers, and magazines. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service user and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was not on duty so was not able to fully assist with the inspection process, though she did visit to introduce herself to the inspector and enquire as to how the inspection was progressing. Other support and senior staff assisted instead. Planning for the Inspection included looking at the last Inspection Report and assessing any notifications of significant events sent to the Commission for Social Care Inspection by the home. The Inspections took place between 14.15 and 18.00 on day one and completed two days later with the Registered Manager, and included a selected tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with five residents, three members of staff, two relatives and the Registered Manager. What the service does well: The philosophy of the service is that residents needs are promoted. To this end there continues to be a very good clear and consistent care planning system in place that provides staff with the information they need to meet the needs of the residents, who are involved in the development and reviewing of their care and affect the day to day running of the home, through formal and informal systems, and the home has excellent recruitment policies and practices. This ensures the vetting, interviewing and appointment of staff does not put residents at risk. The Registered Manager demonstrated a strong commitment to staff training and development to ensure residents needs are fully met. Residents have a wide range of social and educational activities, both within the home and in the community so as to provide them with stimulation and interest. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment system to meet residents needs is in place. EVIDENCE: A resident said that he stayed in the home for a trial before he made up his mind about coming to live there. The Registered Manager said that because of the nature of residents disabilities it is important that a new resident is gradually introduced to the group, by way of short visits, taking part in activities, overnight stays etc. Residents having the opportunity to discuss whether they wanted a new resident coming to live with them was found in the residents meeting file. Evidence seen by the inspector showed that there are social work assessments prior to the admission of residents so that staff can meet stated needs. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of people living in the home are well met. EVIDENCE: Residents spoken with thought they were well looked after and no one thought they were restricted in any way, and some said they were involved in the reviewing of their care plans. The inspector case tracked two care records, which again demonstrated that residents changing needs are being monitored and supported whilst living at the home. Where there is a degree of risk, this is comprehensively assessed, detailing as to how the risk is to be managed with the promotion of independence, welfare and safety. A case file seen by the inspector had over fifteen Risk Assessments carried out to ensure staff understand how to maintain a residents safety. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 10 Staff said they were encouraged to read Care Plans. One staff said she had not yet completed this. The Registered Manager said that she would follow this up so that all staff had read all Care Plans. Records, observations and discussions with residents demonstrate that they make decisions about their lives and have independent life styles as much as possible, e.g. a resident is able to go out on her own, can do her own cooking, residents are encouraged to do household chores, do as much of their personal care as possible and they can use the kitchen with staff supervision. Staff said service users can make decisions about their own lives wherever possible e.g. what time to get up and go to bed, where they want to go on holiday, when they want to bathe, etc. Residents are asked their views on important issues in their meetings and these are recorded regarding food, holidays, outings etc. Staff said that residents independence is always encouraged, as it is an essential part of the philosophy of the home. Staff spoken with were knowledgeable about the care and support each service user required. Staff were observed offering choices to service users, e.g. choice of food for lunch. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home have the opportunity to have a fulfilling lifestyle. EVIDENCE: 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 12 Residents spoken to said they could do what they wanted to do and that they liked going out. A resident said he was asked where he wanted to go for his holidays this year, which he really enjoyed. The evening of the inspection people went out for a meal. Residents were also seen to have an art class where an outside teacher visits for two hours a week. The standard of work produced was of an excellent order and each resident had an extensive portfolio of work. As a number of residents have potentially challenging behaviour they are not all able to attend day centres or college, though two residents go out to work. All residents have an Activities Programme that the service provides in house. Records showed that residents have been on trips and are asked where they want to go on holiday. Residents Meeting notes showed that they have been consulted and trips planned. The Registered Manager said that a resident with an Afro Caribbean background had been taken in the past to see his mother who lived in the Caribbean. Staff said that residents use a range of community facilities including local shops, pubs, the park, and the post office to get their money etc. Residents said they could have their visitors to the home. The parents of a resident confirmed this. Staff members said that it was important for residents to maintain contact with their relatives. Both the relatives visiting said that staff were always welcoming and that the care provided to their son was always of a high standard. Food records did not show that residents were given a choice of food. However the Registered Manager said that this was planned in the future. A staff member said that she spoke to residents on a weekly basis to see what they wanted for the week ahead. It was noted in the residents daily that meals are supplied with vegetables as part of the meal, thereby encouraging healthy eating. Food records showed that a cooked breakfast is offered only at weekends. The Registered Manager said this would now be offered whenever residents chose this. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good personal support with their physical and emotional health needs being well met. Medication is being managed appropriately. EVIDENCE: Residents at present do not require support or specialist equipment to enable them to access facilities. Staff encourage service users to maintain their personal hygiene and welfare. Residents are allocated a member of staff referred to as a keyworker, who supports them in maintaining their quality of life, liaises with health care professionals and family and is responsible for the reviewing of care plans. There is a very comprehensive information kept which details all medical appointments and check ups on an individual basis - from nurses, GPs, dentist, optician, chiropodist etc. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 14 Care Plans indicate all aspects of service users health care needs are covered – e.g. management of personal care, monitoring weight, communication, social skills, etc. Accident/Incident Records were checked and it was found that staff had reacted appropriately to all situations presented. Staff stated only senior staff issue medication and all have been trained - by the pharmacist, and the Registered Manager. The home has a policy and procedure for the safe administration of medications. Medication records were checked and found to be up to date. Medication is kept securely locked away. The Registered Manager is to follow up the recording of a cream for one resident and how regularly this should be given, as the prescription label only stated ‘as directed’ with no other information given to direct staff to properly meet the needs of this resident. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents welfare is protected by robust procedures. Residents views are listened to and acted upon. EVIDENCE: Residents said that if they were worried about anything they would speak to staff or the Manager and they thought it would be followed up. It was found in the complaints book there were two concerns expressed by residents in the past year. Both were properly followed up. The Commission for Social Care Inspection has also received no complaints regarding this service in this time. The Complaints Procedure seen by the inspector reflects the National Minimum Standard in that it stated that any complaints would be properly investigated and followed up within a short time period. There are residents meetings held where all residents are invited to attend and share their views about the home. A record of these meetings is available for residents and staff to refer to. Staff members on duty were asked about their understanding of whistle blowing procedures, and both demonstrated a generally good understanding of 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 16 the protection of residents from abuse, though one staff struggled to name a statutory agency to contact. The Registered Manager said all staff would again be appraised and tested on the full procedure. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely and comfortable environment, and standards of hygiene are good. EVIDENCE: Residents said that they liked their bedrooms and they could have all their things in them. Some residents showed the inspector their bedrooms. Observations of the bedrooms demonstrated that décor in their bedrooms suit their lifestyles. Residents Meeting notes confirmed that residents were asked as to their preferences regarding the colour of the décor of their rooms when they were redecorated. All bedrooms except one have en-suite facilities, which include a toilet, wash hand basin and shower. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 18 Residents rooms were furnished, one room having a double bed, which showed that residents are encouraged to have choice in this matter. Residents currently living in the home are not assessed as requiring specialist moving and handling equipment, such as hoists. Communal areas looked comfortable. A new TV had just been purchased due to the old TV being too small for the main lounge. Standards of cleanliness and odour control in all areas of the home were good. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained and supported, and employed in sufficient numbers to meet the needs of service users. EVIDENCE: Residents spoken to were very happy with staff and saw them as helpful and friendly. The relatives spoken to also said staff were very efficient and welcoming. Staff and relatives thought that there were enough staff currently on the rota to meet residents needs. There are two members of staff on during the day/evening, with a member of staff on duty during the night with another member of staff sleeping on the premises. The Registered Manager said staffing levels will increase with the planned increase in residents being accommodated in the near future. Staff members spoken to said they had supervision sessions on at least a six weekly basis, which are recorded, and records are located within staff records. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 20 The records of two members of staff were viewed who had been recruited since the previous inspection; records contained all relevant required information which included an application form, verification of identity and references, contract detailing terms and conditions and a Criminal Record Bureau check. Staff members were spoken to and had a good knowledge of service uses care needs and were again committed to providing a good service to residents. The Registered Manager has stated that there are 58 of staff with a National Vocational Qualification level 2 qualifications or above. Staff spoken to said they were encouraged to undertake this training. Newly recruited staff undertake induction training and the staff have access to a well presented and detailed induction manual covering relevant issues such as challenging behaviour, epilepsy, diabetes, basic first aid, the National Minimum Standards, hazards etc. Induction also includes a range of training courses - non-violent physical crisis prevention and intervention, makaton, health and safety, first aid, infection control, epilepsy, moving and handling, learning disability and acquired brain injury, team building, writing care plans and risk assessments. The Registered Manager said that new staff have to go through a detailed induction programme, based on the Skills for Care professional model. Staff have had training in a wide range of topics – epilepsy, diabetes, equal opportunities, infection control, communication, fire safety, food hygiene, medication, health and safety, moving and handling, team building etc. Training records are kept within individual staff files. The Registered Manager faxed the inspector with a staff training record, which indicated a detailed, relevant training had been undertaken. A number of relevant training course are also planned for the future, as stated on the Registered Manager’s training schedule. The Registered Manager said that the company had a computer programme, which presented reminders of which staff needed what training, so as to quickly identify who needs training in what topic. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health and Safety systems need to be tightened to ensure full protection for residents. EVIDENCE: 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 22 Both residents relatives and staff spoke highly of how the Registered Manager runs the home. Some residents said the Registered Manager was good at her job. The Staff Meeting notes seen were detailed and focused on ensuring staff meet residents care needs. A questionnaire has been devised to ask residents their views on the way the home is run through a Quality Assurance survey, though this has not yet been done. The Registered Manager said it will be carried out this year. The Registered Manager then needs to analyse the results of surveys, produce an Action Plan and include this information in the Statement of Purpose. A staff member was asked as to the fire procedure and was generally aware of this though omitted one important step. The Registered Manager said that staff would be appraised and tested as to the full procedure. Fire records showed that there is testing of fire bells, though there were some gaps in weekly testing, regular emergency lighting was in place and there are regular fire drills, though they were not always carried out at the required six monthly interval. The Registered Manager said these issues would be monitored in the future. A fire door to the first floor corridor was wedged open and did not fit on its rebate, therefore compromising fire safety. The Registered Manager removed the wedge and said she would order an immediate repair of the door mechanism, and immediately faxed the inspector to state that this had been ordered for the day after the inspection. A written fire risk assessment is in place. Some residents monies were checked and found to be in order. Records had running balances and monies are checked daily to ensure they are correct. Two signatures are not always recorded. There were no receipts as the Registered Manager said they were kept at head office. The Registered Manager agreed to keep recent receipts so that they could be inspected and other issues above would be followed up. There was no radiator covers on some radiators. The Registered Manager has ordered the fitting of radiator covers, which were due within two weeks of this inspection, to protect residents from burn injuries. The hot water temperature was measured and found to be 45.8, just over the National Minimum Standard of close to 43c. There are hot water monitoring charts in place to ensure water temperatures are checked. The Registered Manager said she would ask that the water valves were checked and adjusted. Window restrictors are integrated into the window mechanism though one was not working to the dining room. The Registered Manager said she would order this to be rectified in the next few days following the inspection, and 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 23 immediately faxed the inspector to state that this had been ordered for the day after the inspection. There was a pool of water in a first floor bathroom, caused by a resident taking a bath. This was still present three hours later when the inspector next went into the bathroom. The Registered Manager said she would remind staff to ensure that this is quickly attended to in the future as it causes a slip hazard, as stated in a Risk Assessment in the Health and Safety file. Health and Safety Policies and Procedures are in place and staff said they are encouraged to read them. The Pre Inspection Questionnaire submitted to the Commission for Social Care Inspection along with documents held by the home evidenced that the home is managed with respect of health and safety. The Inspector viewed health and safety records, which evidence various relevant issues - checks to gas and electrical systems, safe working practices etc. Training relevant to the promotion of service users health and welfare also supports this area of practice. 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 1 X 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation 13 Requirement The Health and Safety systems in the home must protect the welfare of service users from harm at all times. This includes protection from hot radiators, slip hazards and fire issues. Timescale for action 24/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 8 Kingsthorpe Grove DS0000031599.V313434.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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